National Provider Identifier [NPI]: |
1285657403 |
Last Name Of The Provider |
ALSIP |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
B329 INFECTION LIMITED PC |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086756 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
3513 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
310075 |
Total Medicare Allowed Amount |
297345.41 |
Total Medicare Payment Amount |
228440.01 |
Total Medicare Standardized Payment Amount |
245035.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
998 |
Total Drug Medicare AllowedAmount |
661.73 |
Total Drug Medicare PaymentAmount |
648.42 |
Total Drug Medicare Standardized Payment Amount |
648.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
3474 |
Number Of Medicare Beneficiaries With Medical Services |
1141 |
Total Medical Submitted Charge Amount |
309077 |
Total Medical Medicare Allowed Amount |
296683.68 |
Total Medical Medicare Payment Amount |
227791.59 |
Total Medical Medicare Standardized Payment Amount |
244386.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
574 |
Number Of Non Hispanic White Beneficiaries |
817 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5991 |